Job summary

Arch is an outstanding healthcare provider delivering primary care to homeless and vulnerably housed patients in Brighton & Hove. In addition to a specialist GP surgery, we also provide in-reach services into the Royal Sussex County Hospital and a variety of community contexts which serve people who are without secure accommodation. We are a committed and experienced team with a passion for improving the health and well-being of people who are homeless or vulnerable.

We are looking to appoint a prescribing ANP or Paramedic ACP to lead our enhanced outreach service, which delivers healthcare on the streets, in day centres, hostels and emergency/temporary accommodation. This project was set up in October 2022 and requires staff to demonstrate a high level of flexibility, drive and ambition. In this role, you will work closely with a GP, Health Engagement Workers and other members of the Arch team to ensure the success of the project. The project is supported by a specialist GP with regular clinical supervision and will have the support of the wider multidisciplinary network and the Arch team. Movement between settings is often conducted on ebikes to facilitate case-finding.

This role is being advertised for 22.5 hours per week over three days (with flexibility)

Interviews will be held on Tuesday 16 September 2025

It is our absolute priority to ensure that all our services are accessible, open and available to everyone who needs them.We believe we can achieve this best through a diverse team and are committed to developing a workforce which is representative of our whole community. Our ideal candidate will be a highly self-motivated leader who is organised, driven, open and caring. They will be able to think on their feet, have great problem-solving abilities and be comfortable with the flexibility required for a role such as this. Most importantly they will be dedicated to the delivery of the highest possible standards of care for people who are living without homes in Brighton & Hove. If you are passionate about our vision and our values, and are excellent at what you do, come as you are and we'll do all we can to help you succeed.

We believe that your success is our success: when you work at Arch, we want to give you everything you need to thrive and grow, this includes investment in your working environment, training, equipment, counselling and development opportunities. You'll receive a competitive salary, good terms and conditions, access to the NHS pension scheme, a positive working culture, excellent support from Arch management and the opportunity to influence and improve health services for some of the most vulnerable people in our city. Many of us have families, of various shapes, sizes and types and we understand that they can make life unpredictable. We offer flexible working arrangements where possible and generous maternity and paternity benefits.

22 July 2025

Other

£56,000 to £60,000 a year FTE depending on experience

Permanent

Part-time

A1065-25-0002

School Clinic

Morley Street

Brighton

BN2 9DH

Clinical responsibilities

• To lead the outreach team, reaching and providing clinical care to people who are experiencing homelessness in various contexts around Brighton & Hove and who are struggling to access the surgery; supporting in complex case management of patients with multiple compound needs.
• To take clinical leadership of patient care across various contexts, prioritising work effectively.
• To effectively engage patients from a variety of backgrounds.
• To independently undertake effective comprehensive holistic health assessments for patients including independent assessments of risk.
• To take time to listen to patients who may have highly distressing personal circumstances and stories to understand their needs.
• To make appropriate referrals for patients as necessary.
• To proactively identify the need for mental capacity assessments, safeguarding referrals, challenges to NHS charging decisions within the caseload and take action as required.
• To clinically advocate and negotiate on behalf of patients with partners, health colleagues and hospital staff.
• To attend case conferences and multi-disciplinary team meetings as necessary.
• To work with the wider team and partners to provide opportunities for patients to engage with their health in the community or street.

Project Co-ordination

• To develop systems and processes to support the delivery of the project.
• To audit and provide reports on the project when requested.
• To foster strong partnerships with partner organisations such as CGL, SCFT, Justlife and others.
• To manage staff associated with this project, providing developmental leadership.
• To represent the outreach team presenting at conferences and other local local and occasional national forums.
• Be willing to engage with teaching and training responsibilities for medical/nursing students gaining experience and/or support workers

Administrative

• To maintain robust systems of data collection, audit and review of all clinical activities, liaising with fellow colleagues in the practice and in the local and national health system as needed to ensure good patient care and service is maintained and to satisfy the standards of external regulatory bodies such as the CQC etc.
• To maintain accurate patient records, updating the practice system as is required for good patient care.

Communication

• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
• Utilise communication skills to support patients to adhere to prescribed treatment regimens.

Personal Responsibilities

• To maintain your own continuous CPD and ensure a PDP is kept up to date in line with the practice and nursing/clinical team development plans.
• Recognise and work within own competence and professional code of conduct as regulated by your relevant professional body.
• To maintain your own annual registration with the relevant professional body and adhere to its Code of Professional Conduct.
• Promote the Homeless Health Service in a positive way, adopting a flexible approach to problem solving and service delivery.

*The list of duties in the job description should not be regarded as exclusive or exhaustive.

Clinical responsibilities

• To lead the outreach team, reaching and providing clinical care to people who are experiencing homelessness in various contexts around Brighton & Hove and who are struggling to access the surgery; supporting in complex case management of patients with multiple compound needs.
• To take clinical leadership of patient care across various contexts, prioritising work effectively.
• To effectively engage patients from a variety of backgrounds.
• To independently undertake effective comprehensive holistic health assessments for patients including independent assessments of risk.
• To take time to listen to patients who may have highly distressing personal circumstances and stories to understand their needs.
• To make appropriate referrals for patients as necessary.
• To proactively identify the need for mental capacity assessments, safeguarding referrals, challenges to NHS charging decisions within the caseload and take action as required.
• To clinically advocate and negotiate on behalf of patients with partners, health colleagues and hospital staff.
• To attend case conferences and multi-disciplinary team meetings as necessary.
• To work with the wider team and partners to provide opportunities for patients to engage with their health in the community or street.

Project Co-ordination

• To develop systems and processes to support the delivery of the project.
• To audit and provide reports on the project when requested.
• To foster strong partnerships with partner organisations such as CGL, SCFT, Justlife and others.
• To manage staff associated with this project, providing developmental leadership.
• To represent the outreach team presenting at conferences and other local local and occasional national forums.
• Be willing to engage with teaching and training responsibilities for medical/nursing students gaining experience and/or support workers

Administrative

• To maintain robust systems of data collection, audit and review of all clinical activities, liaising with fellow colleagues in the practice and in the local and national health system as needed to ensure good patient care and service is maintained and to satisfy the standards of external regulatory bodies such as the CQC etc.
• To maintain accurate patient records, updating the practice system as is required for good patient care.

Communication

• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
• Utilise communication skills to support patients to adhere to prescribed treatment regimens.

Personal Responsibilities

• To maintain your own continuous CPD and ensure a PDP is kept up to date in line with the practice and nursing/clinical team development plans.
• Recognise and work within own competence and professional code of conduct as regulated by your relevant professional body.
• To maintain your own annual registration with the relevant professional body and adhere to its Code of Professional Conduct.
• Promote the Homeless Health Service in a positive way, adopting a flexible approach to problem solving and service delivery.

*The list of duties in the job description should not be regarded as exclusive or exhaustive.

• Effective communication and interpersonal skills.
• Knowledge and understanding of current national developments and trends in health care and practice development.
• Experience of managing clinical risk and experience of identifying and mitigating external risks to outreach working including knowledge around organisational risk registers.
• Understanding of clinical coding in general and Read coding in particular.
• Competent and comfortable in completing a holistic needs assessments including physical health, mental health and substance use in patients experiencing homelessness.

• Implementing strategies for quality assurance and quality audit. Experience of innovative practice or working with new technologies in health care practice.
• Experience of TPP SystmOne clinical system.
• Experience of Microsoft Office software.
• Ability to ride an ebike.

• Enthusiasm and passion for inclusion health.
• An understanding, acceptance and adherence to the need for strict confidentiality.
• Ability to work without direct supervision and determine own workload priorities.
• Ability to work as part of an integrated multi-skilled team.
• Pleasant, passionate and kind.
• Able to work under pressure and in a changing environment.

• Experience of working in accordance with the NMC Code of Professional Conduct (or equivalent).
• Able to demonstrate experience of ongoing complex case management of patients.
• Experience of working with people who are homeless with multiple compound needs.
• Experience of Primary Care.

• Registered Advanced Nurse Practitioner or Advanced Care Practitioner (prescriber).
• A demonstrable commitment to professional development.

• Full driving licence.

• Effective communication and interpersonal skills.
• Knowledge and understanding of current national developments and trends in health care and practice development.
• Experience of managing clinical risk and experience of identifying and mitigating external risks to outreach working including knowledge around organisational risk registers.
• Understanding of clinical coding in general and Read coding in particular.
• Competent and comfortable in completing a holistic needs assessments including physical health, mental health and substance use in patients experiencing homelessness.

• Implementing strategies for quality assurance and quality audit. Experience of innovative practice or working with new technologies in health care practice.
• Experience of TPP SystmOne clinical system.
• Experience of Microsoft Office software.
• Ability to ride an ebike.

• Enthusiasm and passion for inclusion health.
• An understanding, acceptance and adherence to the need for strict confidentiality.
• Ability to work without direct supervision and determine own workload priorities.
• Ability to work as part of an integrated multi-skilled team.
• Pleasant, passionate and kind.
• Able to work under pressure and in a changing environment.

• Experience of working in accordance with the NMC Code of Professional Conduct (or equivalent).
• Able to demonstrate experience of ongoing complex case management of patients.
• Experience of working with people who are homeless with multiple compound needs.
• Experience of Primary Care.

• Registered Advanced Nurse Practitioner or Advanced Care Practitioner (prescriber).
• A demonstrable commitment to professional development.

• Full driving licence.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Arch Health CIC

School Clinic

Morley Street

Brighton

BN2 9DH

https://archhealthcare.uk/ (Opens in a new tab)

Arch Health CIC

School Clinic

Morley Street

Brighton

BN2 9DH

https://archhealthcare.uk/ (Opens in a new tab)